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Шаблоны опросов Опросы на тему здравоохранения Contactless health screen survey template + Sample questionnaire

Contactless health screen survey template + Sample questionnaire

Use the contactless health-screen survey template to know if your employees, visitors, and vendors are healthy and safe to visit the office premises. Know if they are free from COVID-19 symptoms and take actions early to secure their and co-workers' health.

This free contactless health-screen questionnaire is a ready-to-use resource for convention centers and essential services providers. You can always customize this as per your requirements.

Let your staff and visitors know if they are fit enough before they come to the workplace. Frame processes if they experience any unusual symptoms to take action early on.


First Name
Last Name
Email Address
Phone Number
Department
Have you, or anyone you have been in contact with, had a positive test or presumptive test for Covid-19 in the last 14 days? 
Have you had any signs or symptoms of a fever in the past 24 hours such as chills, sweats, or had a temperature that is elevated for you/100.0f or greater?
Are you experiencing any of the following symptoms? (please check all that apply)